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Doctor licensing exams in United States

The licensing route for doctors in United States: who runs the exam, what it looks like and where to practise.

Exams for doctors in United States

DoctorsExam overview

USMLE Step 1

USMLE (FSMB + NBME); ECFMG for IMGs

MCQ, up to 280 items in 7 x 60-min blocks, 8h (from 14 May 2026: 14 x 30-min blocks, up to 20 i…

DoctorsExam overview

USMLE Step 2 CK

USMLE (FSMB + NBME); ECFMG for IMGs

MCQ clinical knowledge, 1-day computer-based

DoctorsExam overview

USMLE Step 3

USMLE (FSMB + NBME)

MCQ + computer-based case simulations (CCS), 2 days

Who regulates it

Always confirm dates, fees and eligibility on the regulator's own site. Rules change.

Who sits it

  • USMLE Step 1: US MD students and all IMGs (ECFMG certification)
  • USMLE Step 2 CK: US MD students and IMGs; de facto residency (NRMP Match) selection exam
  • USMLE Step 3: Residents (PGY-1+) for full licensure
  • COMLEX-USA Level 1 / 2-CE / 3: Osteopathic (DO) students/residents

Other professions in United States

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